Provider Demographics
NPI:1538982277
Name:MURPHY, ALISHA JUSTINE (RDN)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:JUSTINE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:ALISHA
Other - Middle Name:
Other - Last Name:CURRIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:931 SW JOSEPH AVE
Mailing Address - Street 2:
Mailing Address - City:HERMISTON
Mailing Address - State:OR
Mailing Address - Zip Code:97838-7454
Mailing Address - Country:US
Mailing Address - Phone:360-320-8330
Mailing Address - Fax:
Practice Address - Street 1:13112 MOSS RANCH LN
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-3524
Practice Address - Country:US
Practice Address - Phone:703-705-2720
Practice Address - Fax:541-470-5007
Is Sole Proprietor?:No
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORLD-D-10222617133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered